National Provider Identifier [NPI]: |
1548241730 |
Last Name Of The Provider |
HAUSER |
First Name Of The Provider |
CRAIG |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
322 E ANTIETAM ST |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
HAGERSTOWN |
Zip Code Of The Provider |
217405794 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
174 |
Number Of Services |
32834 |
Number Of Medicare Beneficiaries |
3525 |
Total Submitted Charge Amount |
1310455.3 |
Total Medicare Allowed Amount |
458712.66 |
Total Medicare Payment Amount |
345509.03 |
Total Medicare Standardized Payment Amount |
344455.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
27536 |
Number Of Medicare Beneficiaries With Drug Services |
357 |
Total Drug Submitted ChargeAmount |
31483.3 |
Total Drug Medicare AllowedAmount |
8701.78 |
Total Drug Medicare PaymentAmount |
6736.29 |
Total Drug Medicare Standardized Payment Amount |
6736.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
172 |
Number Of Medical Services |
5298 |
Number Of Medicare Beneficiaries With Medical Services |
3524 |
Total Medical Submitted Charge Amount |
1278972 |
Total Medical Medicare Allowed Amount |
450010.88 |
Total Medical Medicare Payment Amount |
338772.74 |
Total Medical Medicare Standardized Payment Amount |
337719.41 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
680 |
Number Of Beneficiaries Age 65 to 74 |
1344 |
Number Of Beneficiaries Age 75 to 84 |
963 |
Number Of Beneficiaries Age Greater 84 |
538 |
Number Of Female Beneficiaries |
2102 |
Number Of Male Beneficiaries |
1423 |
Number Of Non Hispanic White Beneficiaries |
3313 |
Number Of Black or African American Beneficiaries |
126 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
2703 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
822 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6069 |